Arthrocentesis: elbow - Revision history

Lisayee25: /* General Setup */

2022-05-27T06:58:08Z

General Setup

← Older revision		Revision as of 06:58, 27 May 2022
Line 16:		Line 16:
	*Drape joint in sterile fashion		*Drape joint in sterile fashion
	*Inject lidocaine with 25-30ga needle superficially and then into deeper tissues		*Inject lidocaine with 25-30ga needle superficially and then into deeper tissues
	*Insert ~~18ga~~ needle ~~(for larger joints)~~ into joint space while pulling back on syringe		*Insert 20ga needle into joint space while pulling back on syringe
	*Stop once you aspirate fluid; aspirate as much fluid as possible		*Stop once you aspirate fluid; aspirate as much fluid as possible
	**Send: cell count, culture, [[Gram Stain]], crystal analysis		**Send: cell count, culture, [[Gram Stain]], crystal analysis

Blsimpso: /* External Links */

2021-07-16T00:18:57Z

External Links

← Older revision		Revision as of 00:18, 16 July 2021
Line 41:		Line 41:
	==External Links==		==External Links==
	*https://www.nuemblog.com/blog/joint-aspiration?rq=arthrocentesis		*https://www.nuemblog.com/blog/joint-aspiration?rq=arthrocentesis
	*[https://~~emedicine~~.~~medscape~~.com/~~article~~/~~79975~~-~~overview#showall Medscape~~ - Elbow Arthrocentesis]		*[https://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/how-to-do-arthrocentesis/how-to-do-elbow-arthrocentesis?query=arthrocentesis%20elbow Merk Manual - How To Do Elbow Arthrocentesis]

	===Videos===		===Videos===

Blsimpso: /* External Links */

2021-07-03T01:30:10Z

External Links

← Older revision		Revision as of 01:30, 3 July 2021
Line 41:		Line 41:
	==External Links==		==External Links==
	*https://www.nuemblog.com/blog/joint-aspiration?rq=arthrocentesis		*https://www.nuemblog.com/blog/joint-aspiration?rq=arthrocentesis
			*[https://emedicine.medscape.com/article/79975-overview#showall Medscape - Elbow Arthrocentesis]

	===Videos===		===Videos===

Blsimpso: /* External Links */

2021-06-29T00:54:50Z

External Links

← Older revision		Revision as of 00:54, 29 June 2021
Line 41:		Line 41:
	==External Links==		==External Links==
	*https://www.nuemblog.com/blog/joint-aspiration?rq=arthrocentesis		*https://www.nuemblog.com/blog/joint-aspiration?rq=arthrocentesis

			===Videos===
			{{#widget:YouTube\|id=jWijsKDdyuA}}

	==References==		==References==

Rossdonaldson1: /* External Links */

2019-10-29T23:42:05Z

External Links

← Older revision		Revision as of 23:42, 29 October 2019
Line 40:		Line 40:

	==External Links==		==External Links==
	*~~http~~://www.~~youtube~~.com/~~watch~~?v=~~fZ2dcZhoGP8 Arthrocentesis~~		*https://www.nuemblog.com/blog/joint-aspiration?rq=arthrocentesis
	*http://emprocedures.com/arthrocentesis~~/introduction.htm~~

	==References==		==References==

Rossdonaldson1: /* Procedure */

2019-10-29T20:07:20Z

Procedure

← Older revision		Revision as of 20:07, 29 October 2019
Line 11:		Line 11:

	==Procedure==		==Procedure==
			[[File:Shoulder Arthrocentesis.jpg\|thumb\|Elbow arthrocentesis]]
	===General Setup===		===General Setup===
	*Prep area with betadine or chlorhexadine using circular motion moving away from joint x 3		*Prep area with betadine or chlorhexadine using circular motion moving away from joint x 3
Line 20:		Line 21:

	===Specific Approach===		===Specific Approach===
	~~[[File:Shoulder Arthrocentesis.jpg\|thumb\|Elbow arthrocentesis]]~~
	*Place elbow in 90<sup>o</sup> flexion, resting on a table, with hand prone		*Place elbow in 90<sup>o</sup> flexion, resting on a table, with hand prone
	*Locate radial head, lateral epicondyle, and lateral aspect of olecranon tip		*Locate radial head, lateral epicondyle, and lateral aspect of olecranon tip

Rossdonaldson1: /* Procedure */

2019-10-29T20:07:03Z

Procedure

← Older revision		Revision as of 20:07, 29 October 2019
Line 19:		Line 19:
	**Send: cell count, culture, [[Gram Stain]], crystal analysis		**Send: cell count, culture, [[Gram Stain]], crystal analysis

			===Specific Approach===
			[[File:Shoulder Arthrocentesis.jpg\|thumb\|Elbow arthrocentesis]]
			*Place elbow in 90<sup>o</sup> flexion, resting on a table, with hand prone
			*Locate radial head, lateral epicondyle, and lateral aspect of olecranon tip
			**These landmarks form the anconeus triangle
			*Palpate a sulcus just proximal to the radial head (in the middle of the triangle)
			*Insert needle into sulcus directed medial and perpendicular to radius toward distal end of antecubital fossa

	==Evaluation==		==Evaluation==

Rossdonaldson1: Created page with "==Overview== ==Indications== {{Arthrocentesis indications}} ==Contraindications== {{Arthrocentesis contraindications}} ==Equipment Needed== {{Arthrocentesis equipment}} ==..."

2019-10-29T20:06:23Z

Created page with "==Overview== ==Indications== {{Arthrocentesis indications}} ==Contraindications== {{Arthrocentesis contraindications}} ==Equipment Needed== {{Arthrocentesis equipment}} ==..."

New page

==Overview==

==Indications==
{{Arthrocentesis indications}}

==Contraindications==
{{Arthrocentesis contraindications}}

==Equipment Needed==
{{Arthrocentesis equipment}}

==Procedure==
===General Setup===
*Prep area with betadine or chlorhexadine using circular motion moving away from joint x 3
*Drape joint in sterile fashion
*Inject lidocaine with 25-30ga needle superficially and then into deeper tissues
*Insert 18ga needle (for larger joints) into joint space while pulling back on syringe
*Stop once you aspirate fluid; aspirate as much fluid as possible
**Send: cell count, culture, [[Gram Stain]], crystal analysis

==Evaluation==
{{Arthrocentesis diagnostic chart}}

==Complications==
{{General arthrocentesis complications}}

==See Also==
*[[Arthrocentesis]]
*[[Arthritis]]
*[[Septic Arthritis (General)]]
*[[Septic arthritis (peds)]]

==External Links==
*http://www.youtube.com/watch?v=fZ2dcZhoGP8 Arthrocentesis
*http://emprocedures.com/arthrocentesis/introduction.htm

==References==
<references/>

[[Category:Procedures]]